Method of treating chronic abacterial prostatitis complicated by sexual dysfunction

FIELD: medicine.

SUBSTANCE: combined phyto- and physiotherapy is conducted. The phytotherapy involves administering Prolit Super 2 capsules two times a day (at 8 and 14 o'clock) for one month; the physiotherapy provides rectal electrical stimulation by means of AndroGyn for 8 minutes a day, 15 procedures in the therapeutic course.

EFFECT: invention enables improving the sexual function and prostatic microcirculation, and can be used in ambulance situation.

1 dwg, 1 ex

 

The invention relates to medicine, namely to urology.

Sexual problems along with pain of different localization and dysuric phenomena represent the most common triad in chronic prostatitis symptoms, sexual dysfunction is a complication of chronic prostatitis [1].

Sexual dysfunction in CP patients are very diverse even in the same patient at different periods of the disease. The variability is dependent upon the activity of the inflammatory process, the degree of involvement of adjacent organs, the condition of the nervous and endocrine systems, patient age, comorbidities. However, most researchers speak about the oppression of libido, disorder adequate erections and accelerated ejaculation [2].

One of the most common types of sexual dysfunction in chronic prostatitis is premature ejaculation (PE) [3]. Of 420 patients with CP in 35% of the identified PE, and half of them with ureteroscopy revealed a characteristic pattern colliculitis [4].

In chronic inflammation of the prostate gland, posterior urethra and seminal tubercle is broken the sensitivity of peripheral nerve endings, which leads by reflex excitability changes corresponding spinal centres. Thus, PE occur in�schaya, as a result of urological diseases, is closely connected with the spinal PE, only in the first case of spinal sexual centers involved in the process again by reflex.

Of 638 patients with chronic infectious and non-infectious prostatitis in age from 19 to 60 years (average 36,1±11,9 years) sexual dysfunction was present in 216 people(33,9%) [1].

The known method of normalization of neurophysiological parameters of sexual intercourse [1] by the appointment of herbal remedies Prostanorm and Phyto Novo-ETS patients with chronic abacterial prostatitis, also celebrating the premature ejaculation. All patients underwent the same type of treatment in four weeks: at 8:00 and 14:00-0,5 teaspoon of the extract of prostanorm in water or on sugar for 30-40 minutes before meals; 20:00 - 0,5 teaspoon of the Herbal extract Novo-Seda, dissolved in a little water, after 1-1,5 hours after dinner. Was the efficiency of the known method against premature ejaculation, but positive dynamics from the actual inflammatory process in the prostate gland were noted.

A method of treating premature ejaculation (EN 2400249 C1) consists in the fact that medical treatment is carried out tentena 1 tablet 2-3 times a day for 8-10 weeks, and additionally perform laser those�the Apia by exposure to continuous crotch (IR) radiation of 10 mW daily for 10 min, the course is 10-12 procedures. However, the known method only applies to one type of sexual dysfunction - speed ejaculation without affecting other elements of the copulative act.

Known methods aimed at correcting the neuro-physiological component of the sexual act, do not affect the pathogenetic mechanisms of chronic prostatitis, and thus do not eliminate the cause sexual dysfunction.

In the present method, using combined herbal preparation Prolit Super capsule that contains in each capsule (600 mg) leaf extracts of shelkovchanka curly (Strobilanthi Folium) 80 mg, leaves kidney tea (Orthosiphonis Folium) - 6 mg, ginseng roots present (Radix Ginseng) - 5 mg, seahorse (Sea Horse) - 5 mg, rhizomes of Imperata cylindrica (Rhizoma Imperatae), 2 mg, roots of licorice (Glycyrrhizae Radix) - 2 mg. According to the instructions super shed used as a diuretic, in inflammatory diseases of the bladder and urethra, chronic hepatitis, renal and cardiac edema. However, some components of the shed are also super adaptogenic, immunomodulatory, protivovospalitelnoe action and stimulate the contraction of muscle fibers of the prostate, improving hemodynamics, microcirculation and facilitates the emptying from profilactica, thus, congestio.

The method is as follows. After examination of the patient and confirmation of the diagnosis "chronic abacterial prostatitis, complicated sexual dysfunction", the patient is prescribed Prolit Super 2 capsules per day (at 8 and 14 hours) during the month; at the same time carry out physical therapy by rectal stimulation with the help of the Androgyne in for 8 minutes every other day, 15 procedures for the course. In the process of electrical stimulation results in an additional improvement of microcirculation and tone the prostate gland, which potentiates the effect of super shed.

Example. Patient A., 43 years. Chronic abacterial prostatitis for 7 years, had received repeated courses of treatment (massage, physical therapy, alpha blockers, vitamins, antioxidants), but every year at least two times marked aggravation that followed every time more severe sexual dysfunction. The leading complaints at the time of treatment were: constant pain in the perineum, painful ejaculation, decreased libido, difficult ejaculation. It was also revealed impaired microcirculation.

The patient was treated with chronic abacterial prostatitis, complicated sexual dysfunction combination of phyto - and fitoterapia: capsule Super Shed 2 capsules twice daily (at 8 and 14 hours) within t�e of the month and rectal electrical stimulation by using the apparatus of the Androgyne within 8 minutes through day 15 of procedures for the course.

After 2 weeks the patient noted improvement in many parameters, however, remained moderate violation of microcirculation, difficult ejaculation, weak pain during ejaculation. One month later the patient had no complaints, laser Doppler was an improvement of microcirculation by 84%, sexual function has fully recovered.

The method was tested in urogenital clinic research center of Novosibirsk research Institute of tuberculosis in 9 patients aged from 38 to 49 years with chronic abacterial prostatitis, complicated sexual dysfunction, within an average of 5, 7 years. Patients identified the following types of sexual dysfunction: decreased libido (all 9), premature ejaculation (2), obstruction ejaculation (5), decrease the brightness of orgasm (8), painful ejaculation (3). Also in all patients by laser Doppler set marked impairment of microcirculation in the prostate gland.

All patients received treatment according to the claimed method with good tolerability and efficacy, the comparison of the parameters presented in the following chart, which demonstrates the high efficiency of the proposed method has improved the sexual function �about all the criteria including leveled main pathogenetic mechanism of chronic abacterial prostatitis is a violation of the microcirculation in the lesion (see chart).

Thus, the claimed method of treatment of chronic abacterial prostatitis, complicated sexual dysfunction combination of phyto - and fitoterapia, characterized in that the herbal capsules carry out Super Shed 2 capsules twice daily (at 8 and 14 hours) during the month, and physiotherapy is carried out by rectal stimulation with the help of the Androgyne in for 8 minutes every other day, 15 procedures for the course, is a highly effective, well tolerated, and can be used in outpatient practice.

Literature

1. Culcavey E. V. Prostatitis. Diagnosis and treatment: manual / E. V. Culcavey, A. I. Neimark. - M.: GEOTAR-Media, 2010. - 256 with: ill. (Library specialist).

2. Tkachuk V. N., Gorbachev A. G., Golanski L. I. Chronic prostatitis. - L.: Medicine, 1989.

3. Culcavey E. V. Our opinion on the violation of ejaculation in men in some regions of Russia /E. V. Culcavey, P. A. Azizov, M. D. Romanovsky et al. / / Urology. - 2010. - No. 3. Pp. 49-52.

4. Loran O. B., Pushkar D. Yu., Segal A. S., etc. Our understanding of chronic prostatitis // Farmateka. - 2002. - No. 10. Pp. 69-75.

A method for the treatment of chronic abacterial prostatitis, complicated�CSOs sexual dysfunction combination of phyto - and physiotherapy, characterized in that the herbal capsules carry out Super Shed 2 capsules twice daily (at 8 and 14 hours) during the month, and physiotherapy is carried out by rectal stimulation with the help of the Androgyne in for 8 minutes every other day, 15 procedures for the course.



 

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